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目的探讨和研究微创手术治疗宫外孕患者时对输卵管保留情况。方法回顾性分析上海天伦医院2009年1月-2013年1月收治的58例宫外孕患者的临床资料,按照手术方式的不同将其分为观察组和对照组各29例,对照组采用传统开腹手术,观察组则采用腹腔镜下微创手术,在不影响手术疗效的情况下尽量保留输卵管,治疗结束后统计各项数据并对比。结果观察组患者的术中出血量、术后并发症及住院时间均较对照组为佳,且输卵管保留率显著高于对照组,差异具有统计学意义(P<0.05)。结论腹腔镜下的微创手术对患者的损伤较小,术后恢复较快,且输卵管保留率较开腹手术明显为高,更能符合有生育要求的患者,值得在临床上加以推广和应用。
Objective To investigate and study the retention of tubal when minimally invasive surgery in patients with ectopic pregnancy. Methods The clinical data of 58 cases of ectopic pregnancy admitted to Shanghai Tianlun Hospital from January 2009 to January 2013 were retrospectively analyzed. According to the different surgical methods, they were divided into observation group (29 cases) and control group (29 cases) respectively. The control group Surgery, observation group was minimally invasive laparoscopic surgery, without affecting the operation of the case as much as possible to retain the fallopian tubes, the statistics after the end of treatment and comparison. Results The intraoperative blood loss, postoperative complications and hospital stay of the observation group were better than those of the control group, and the retention rate of tubal was significantly higher than that of the control group. The difference was statistically significant (P <0.05). Conclusions The laparoscopic minimally invasive surgery has less damage to patients and faster recovery after operation, and the retention rate of tubal is obviously higher than that of laparotomy, which is more suitable for the patients with reproductive requirements, so it is worth to be popularized and applied clinically .